Hcg qualitative at Banner Ocotillo Medical Center
1405 S Alma School Rd, Chandler, AZ · Banner Health · · NPI 1972139004
$49.00
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$250.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$7.52 with Aetna vs $187.50 with Provider Network of America — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| Aetna | Medicare Advantage | $7.52 | ↓ -85% |
| Humana | Medicare Advantage | $7.52 | ↓ -85% |
| Arizona Physicians IPA | Medicare Advantage | $7.52 | ↓ -85% |
| Arizona Physicians IPA | Medicaid | $7.52 | ↓ -85% |
| Banner University Health Plan | University Care Advantage | $7.52 | ↓ -85% |
| Mercy Care | Mercy Medicaid | $7.52 | ↓ -85% |
| Mercy Care | Mercy Care Advantage | $7.52 | ↓ -85% |
| Kaiser Foundation Health Plan | Medicare Advantage | $7.52 | ↓ -85% |
| Health Choice Arizona, Inc. | Medicare Advantage | $7.52 | ↓ -85% |
| Gila River Health Care Corporation | Managed Care Program | $7.52 | ↓ -85% |
| Cigna Healthcare of Arizona, Inc. | PPO Medicare Advantage Plan | $7.52 | ↓ -85% |
| Cigna Healthcare of Arizona, Inc. | HMO Medicare Advantage Plans | $7.52 | ↓ -85% |
| Health Choice Arizona, Inc. | Medicaid | $7.52 | ↓ -85% |
| Banner Health | Medicare Advantage | $7.52 | ↓ -85% |
| Wellpoint | Medicare Advantage HMO | $7.52 | ↓ -85% |
| United Healthcare | UHC Medicare Advantage | $7.52 | ↓ -85% |
| UPMC Health Plan | Medicare Advantage | $7.52 | ↓ -85% |
| Health Net | Medicaid | $7.52 | ↓ -85% |
| Health Net | Medicare | $7.52 | ↓ -85% |
| Blue Cross Blue Shield of Arizona | Medicare Advantage | $7.52 | ↓ -85% |
| TriWest Healthcare Alliance Corp - VA CCN | VA Community Care Network | $7.52 | ↓ -85% |
| Banner University Health Plan | AZ Medicaid - AHCCCS | $7.52 | ↓ -85% |
| Devoted Health Services | Medicare Advantage | $7.90 | ↓ -84% |
| Carelon | Medicare Advantage | $7.90 | ↓ -84% |
| Gold Kidney Health Plan | Medicare Advantage | $8.27 | ↓ -83% |
| Aetna | Qualified Health Plan | $10.23 | ↓ -79% |
| United Healthcare | Individual Exchange | $10.53 | ↓ -79% |
| Health Net | Commerical Exchange Product | $11.13 | ↓ -77% |
| Health Choice Arizona, Inc. | ACA Health Plan | $11.28 | ↓ -77% |
| Oscar Health Plan | Commercial | $12.41 | ↓ -75% |
| Cigna Healthcare of Arizona, Inc. | LocalFlex | $13.20 | ↓ -73% |
| United Healthcare | UHC Doctor's Plan | $13.91 | ↓ -72% |
| Cigna Healthcare of Arizona, Inc. | Commercial | $14.67 | ↓ -70% |
| United Healthcare | UHC Core | $15.37 | ↓ -69% |
| United Healthcare | Commercial | $16.92 | ↓ -65% |
| Aetna | Joint Venture | $25.25 | ↓ -48% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $25.82 | ↓ -47% |
| Aetna | Designated Group | $26.83 | ↓ -45% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Alliance/Blue HPN | $27.54 | ↓ -44% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $28.92 | ↓ -41% |
| Aetna | Broad Network | $31.57 | ↓ -36% |
| Blue Cross Blue Shield of Arizona | Medicare Supplemental Senior Preferred | $34.43 | ↓ -30% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Workers Comp | $34.43 | ↓ -30% |
| Blue Cross Blue Shield of Arizona | Commercial | $34.43 | ↓ -30% |
| Aetna | Banner Employee Plans | $84.00 | ↑ +71% |
| Hospice of the Valley | Medicare | $87.50 | ↑ +79% |
| Plotkin Health | Plotkin Health | $112.50 | ↑ +130% |
| Aetna | Medical Rental | $131.75 | ↑ +169% |
| Quiktrip Corporation | Commercial | $135.00 | ↑ +176% |
| Arizona Medical Network | Commercial | $175.00 | ↑ +257% |
| Provider Network of America | Commercial | $187.50 | ↑ +283% |
Visitor-reported prices
Comments
Hcg qualitative at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Chandler Regional Medical Center | Chandler | $138.83 | $4.51 – $418.32 |
| Mercy Gilbert Medical Center | Gilbert | $127.43 | $7.52 – $383.46 |
| Banner University Medical Center Phoenix | Phoenix | $40.00 | $7.52 – $187.50 |
| Banner University Medical Center Tucson | Tucson | $21.87 | $7.52 – $108.00 |
| Banner University Medical Center South | Tucson | $21.06 | $7.52 – $108.00 |
| Banner Baywood Medical Center | Mesa | $31.75 | $7.52 – $187.50 |
| Banner Behavioral Health Hospital | Scottsdale | $146.47 | $7.52 – $175.00 |
| Banner Boswell Medical Center | Sun City | $37.75 | $7.52 – $200.00 |